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Nathan Vincent Wagstaff, MD
Obstetrics & Gynecology Physician in Detroit, Michigan
NPI 1669429825

Nathan Vincent Wagstaff is a Obstetrics & Gynecology Physician based in Clinton Twp, MI. Nathan Vincent Wagstaff practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Nathan Vincent Wagstaff is 1669429825 and holds a License No. (Michigan).

The current practice location address for Nathan Vincent Wagstaff is 22151 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-3494 and via fax at 313-343-4932.

Location: 22151 Moross Rd, Detroit, MI, 48038-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669429825
Provider Name
Nathan Vincent Wagstaff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22151 Moross Rd, Detroit, MI, 48038-1136
Phone Number
313-343-3494
Fax Number
313-343-4932
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5315026029 01 MI CONTROLLED SUBSTANCE
institution
Provider Business Practice Location Address Details
Address
22151 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2167
Phone Number
313-343-3494
Fax Number
313-343-4932
person
Provider Business Mailing Address Details
Address
22151 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2167
Phone Number
313-343-3494
Fax Number
313-343-4932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
(Michigan)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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